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Cardiac Surgery

RCT | Nighttime dexmedetomidine for delirium prevention in non-mechanically ventilated patients after cardiac surgery

1 Feb, 2023 | 12:58h | UTC

Nighttime dexmedetomidine for delirium prevention in non-mechanically ventilated patients after cardiac surgery (MINDDS): A single-centre, parallel-arm, randomised, placebo-controlled superiority trial – eClinicalMedicine

Commentary: Short Dose of Intravenous Sedative May Help Prevent Postoperative Delirium After Heart Surgery – Massachusetts General Hospital

 


M-A | Colchicine for prevention of post-operative atrial fibrillation

27 Jan, 2023 | 12:03h | UTC

Colchicine for prevention of post-operative atrial fibrillation: Meta-analysis of randomized controlled trials – Frontiers in Cardiovascular Medicine

 


M-A | Effects of ultrasound-guided regional anesthesia in cardiac surgery

20 Jan, 2023 | 14:35h | UTC

Effects of ultrasound-guided regional anesthesia in cardiac surgery: a systematic review and network meta-analysis – BMC Anesthesiology

 


Review | Surgical site infection prevention

18 Jan, 2023 | 14:31h | UTC

Surgical Site Infection Prevention: A Review – JAMA (free for a limited period)

Author interview: Surgical Site Infection Prevention – JAMA

Related:

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017 – JAMA Surgery 

Global guidelines on the prevention of surgical site infection – World Health Organization 

Surgical site infections: prevention and treatment – National Institute for Health and Care Excellence 

APSIC guidelines for the prevention of surgical site infections – Antimicrobial Resistance & Infection Control

Perioperative care bundles for the prevention of surgical-site infections: meta-analysis – British Journal of Surgery

AAOS Guideline: Prevention of surgical site infections after major extremity trauma.

 


RCT | In patients undergoing cardiac surgery, intravenous high-dose selenium did not reduce morbidity or mortality

15 Jan, 2023 | 20:00h | UTC

Effect of High-Dose Selenium on Postoperative Organ Dysfunction and Mortality in Cardiac Surgery Patients: The SUSTAIN CSX Randomized Clinical Trial – JAMA Surgery

 

Commentary on Twitter

 


Study suggests delivering high concentrations of antibiotics into the implantation site is feasible for infections in implanted CV electronic devices

13 Jan, 2023 | 13:26h | UTC

Regional Antibiotic Delivery for Implanted Cardiovascular Electronic Device Infections – Journal of the American College of Cardiology (link to abstract – $ for full-text)

Commentaries: 

Direct Delivery of Antibiotics to CV Device Pocket Infections Appears Promising – TCTMD

Regional Antibiotics for Implanted Cardiovascular Electronic Device Infections – American College of Cardiology

 


Consensus Document | Management of infants and neonates with tetralogy of Fallot

11 Jan, 2023 | 14:21h | UTC

The American Association for Thoracic Surgery (AATS) 2022 Expert Consensus Document: Management of infants and neonates with tetralogy of Fallot – The Journal of Thoracic and Cardiovascular Surgery

 

Commentary on Twitter

 


SR | Prothrombin complex concentrate in cardiac surgery for the treatment of coagulopathic bleeding.

24 Nov, 2022 | 13:24h | UTC

Prothrombin complex concentrate in cardiac surgery for the treatment of coagulopathic bleeding – Cochrane Library

Summary: Prothrombin complex concentrate in the treatment of bleeding that occurs with heart surgery – Cochrane Library

 


M-A | Epidemiology of persistent postoperative opioid use after cardiac surgery.

21 Nov, 2022 | 13:36h | UTC

Epidemiology of persistent postoperative opioid use after cardiac surgery: a systematic review and meta-analysis – British Journal of Anaesthesia 

 


Matched cohort study | Long-term clinical and radiographic outcomes in patients with clinically isolated aortitis.

11 Nov, 2022 | 13:43h | UTC

Long-Term Clinical and Radiographic Outcomes in Patients With Clinically Isolated Aortitis – ACR Open Rheumatology

 


RCT | Volatile anesthesia did not significantly reduce postoperative delirium compared to IV anesthesia in cardiac valve surgery.

11 Nov, 2022 | 12:59h | UTC

Volatile Versus Total Intravenous Anesthesia on Postoperative Delirium in Adult Patients Undergoing Cardiac Valve Surgery: A Randomized Clinical Trial – Anesthesia & Analgesia (link to abstract – $ for full-text)

 


Review | Diagnosis of cardiac surgery-associated acute kidney injury.

10 Nov, 2022 | 13:27h | UTC

Diagnosis of Cardiac Surgery-Associated Acute Kidney Injury: State of the Art and Perspectives – Journal of Clinical Medicine

Related:

Clinical practice update for management of acute kidney injury associated with cardiac surgery.

CSA-AKI: Incidence, Epidemiology, Clinical Outcomes, and Economic Impact – Journal of Clinical Medicine

 


RCT | In infants undergoing heart surgery, prophylactic methylprednisolone did not significantly improve outcomes.

9 Nov, 2022 | 12:31h | UTC

Methylprednisolone for Heart Surgery in Infants — A Randomized, Controlled Trial – New England Journal of Medicine (link to abstract – $ for full-text)

News Release: Steroids during surgery may not be helpful for infants having heart bypass – American Heart Association

 

Commentary on Twitter

 


Study Commentary | Radial artery beats both right internal thoracic artery and vein grafting at 15 years.

9 Nov, 2022 | 12:28h | UTC

(Not published yet, presented at the American Heart Association Scientific Sessions, November 6, 2022)

RAPCO: Radial Artery Beats Both RITA and Vein Grafting at 15 Years – TCTMD

See also:

Radial Artery Patency and Clinical Outcomes Study–Right Internal Thoracic Artery – RAPCO-RITA – American College of Cardiology

Radial Artery Patency and Clinical Outcomes Study–Saphenous Vein – RAPCO-SV – American College of Cardiology

Related:

Meta-analysis: Radial artery graft vs. saphenous vein graft in long-term cardiovascular outcomes among patients undergoing coronary artery bypass grafting

Meta-Analysis: Radial-Artery vs Saphenous-Vein Grafts in CABG

 


M-A | Strategies for post–cardiac surgery acute kidney injury prevention.

9 Nov, 2022 | 12:19h | UTC

Strategies for post–cardiac surgery acute kidney injury prevention: A network meta-analysis of randomized controlled trials – Frontiers in Cardiovascular Medicine

 


2022 ACC/AHA Guideline for the diagnosis and management of aortic disease.

3 Nov, 2022 | 14:21h | UTC

2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines – Journal of the American College of Cardiology

News Release: ACC, AHA Issue Aortic Disease Guideline – American Heart Association

 


ACCP Guideline | Perioperative management of antithrombotic therapy.

1 Nov, 2022 | 12:18h | UTC

Perioperative Management of Antithrombotic Therapy: An American College of Chest Physicians Clinical Practice Guideline – CHEST

Executive Summary: Perioperative Management of Antithrombotic Therapy: An American College of Chest Physicians Clinical Practice Guideline – CHEST

 

Commentary on Twitter

 


M-A of RCT | Analgesic efficacy and risk of low-to-medium dose intrathecal morphine in patients undergoing cardiac surgery.

25 Oct, 2022 | 13:10h | UTC

Analgesic efficacy and risk of low-to-medium dose intrathecal morphine in patients undergoing cardiac surgery: An updated meta-analysis – Frontiers in Medicine

 


Clinical practice update for management of acute kidney injury associated with cardiac surgery.

20 Oct, 2022 | 12:31h | UTC

Society of Cardiovascular Anesthesiologists Clinical Practice Update for Management of Acute Kidney Injury Associated With Cardiac Surgery – Anesthesia & Analgesia (free for a limited period)

 

Commentary on Twitter

 


Cohort Study | Association of thoracic aortic aneurysm size with long-term patient outcomes.

6 Oct, 2022 | 13:47h | UTC

Association of Thoracic Aortic Aneurysm Size With Long-term Patient Outcomes: The KP-TAA Study – JAMA Cardiology (free for a limited period)

 

Commentary on Twitter

 


Current updates in acute traumatic aortic injury: radiologic diagnosis and management.

30 Sep, 2022 | 12:36h | UTC

Current updates in acute traumatic aortic injury: radiologic diagnosis and management – Clinical and Experimental Emergency Medicine

 


Review | Regional anesthesia and acute perioperative pain management in thoracic surgery.

30 Sep, 2022 | 12:32h | UTC

Regional anesthesia and acute perioperative pain management in thoracic surgery: a narrative review – Journal of Thoracic Disease

 


Opinion | Tranexamic acid for safer surgery: the time is now.

7 Sep, 2022 | 12:37h | UTC

Tranexamic acid for safer surgery: the time is now – British Journal of Surgery

Related:

#ACC22 – RCT: Tranexamic acid reduces the risk of bleeding in patients undergoing noncardiac surgery.

Update on applications and limitations of perioperative tranexamic acid.

RCT | Effect of high- vs. low-dose tranexamic acid infusion on need for red blood cell transfusion and adverse events in patients undergoing cardiac surgery.

Safety of tranexamic acid in hip and knee arthroplasty in high-risk patients – this large observational study did not show an increased risk for venous thromboembolism, myocardial infarction, seizures, ischemic strokes, or transient ischemic attacks, irrespective of patient high-risk status at baseline

M-A: Intravenous tranexamic acid in surgical patients is not associated with increased risk of thromboembolic events and mortality

 


JCS 2022 Guideline on management and re-interventional therapy in patients with congenital heart disease in the long-term after the initial repair.

2 Sep, 2022 | 13:10h | UTC

JCS 2022 Guideline on Management and Re-Interventional Therapy in Patients With Congenital Heart Disease Long-Term After Initial Repair – Circulation Journal

 


Review | Invasive and noninvasive cardiovascular monitoring options for cardiac surgery.

30 Aug, 2022 | 12:03h | UTC

Invasive and noninvasive cardiovascular monitoring options for cardiac surgery – JTCVS Open

 


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